PT  - JOURNAL ARTICLE
AU  - Azka Latif
AU  - Vikas Kapoor
AU  - Renuga Vivekanandan
AU  - Joseph Thilumala Reddy
TI  - A rare case of <em>Shewanella</em> septicemia: risk factors, environmental associations and management
AID  - 10.1136/bcr-2019-230252
DP  - 2019 Sep 01
TA  - BMJ Case Reports
PG  - e230252
VI  - 12
IP  - 9
4099  - http://casereports.bmj.com/content/12/9/e230252.short
4100  - http://casereports.bmj.com/content/12/9/e230252.full
SO  - BMJ Case Reports2019 Sep 01; 12
AB  - Shewanella species are Gram-negative, saprophytic, motile bacilli. Exposure to aquatic environment and raw fish ingestion have been defined as significant associated risk factors. The two species most commonly associated with human infections are Shewanella algae and Shewanella putrefaciens and major portion of infections (80%) caused by the former. Herein, we report a case of Shewanella septicaemia in a 70-year-old man in Omaha, NE who had no exposure to aquatic environment. To date, no defined treatment guidelines are present due to rarity of Shewanella infections, which is contributing to emerging antibiotic resistance.